NPIMap

Organization Active NPI

Northern Arizona Healthcare Solutions P.C.

  • Family Nurse Practitioner
  • Chino Valley, AZ
National Provider Identifier
1457794414
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4015 Issued in AZ
Legal business name
NORTHERN ARIZONA HEALTHCARE SOLUTIONS P.C.
Practice address
1778 N Hwy 89
Chino Valley, AZ 86323-5695
Phone
(928) 404-1488
Fax
(602) 218-4443
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Marie Brown, FNP-CNPI 1265693881
Title
Secretary/Treasurer
Phone
(928) 772-1673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP4015 AZ Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X F1108184 AZ

Addresses

Primary practice location

1778 N Hwy 89
Chino Valley, AZ 86323-5695

Mailing address

1778 N Hwy 89
Chino Valley, AZ 86323-5695
Phone (928) 404-1488

Other identifiers 2

IdentifierTypeStateIssuer
Z91357OtherAZPTAN
Z128381OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305000276 AZ Part B Supplier - Clinic/Group Practice 9739319146 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott Valley, AZ

National Provider Directory

National Provider Directory

Locations

1778 N State Route 89
Chino Valley, AZ 86323
Phone (928) 404-1488

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1457794414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 N HWY 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235695",
            "telephone_number": "928-404-1488",
            "fax_number": "602-218-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 N HWY 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235695",
            "telephone_number": "928-404-1488",
            "fax_number": "602-218-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA HEALTHCARE SOLUTIONS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "928-772-1673",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4015",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F1108184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z91357",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z128381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.